The world of neuroscience demands a team of physician specialists and medical professionals to accurately diagnose and treat patients.
Specialists at the Iowa Spine and Brain Institute™ are passionate about offering patients an interdisciplinary approach to diagnosis and treatment. The Institute provides conservative management of back pain, including physical and occupational therapy, physiatry, and minimally invasive pain therapy, in addition to surgery when intervention is needed.
Clinical Procedures Performed Include:
- Neurosurgical Procedures
- Pain Management Procedures
Dr. Marietta Walsh at the Iowa Spine and Brain Institute™ has extensive training and experience in caring for patients with problems involving the brain, spine, cerebrovascular system and peripheral nerves. Aided by a highly-skilled support staff, our physicians performs the following procedures:
- Lumbar fusion
- Revision surgery of the spine
- Spine fracture/reduction
- Spinal reconstruction
- Spinal tumor removal
- Scoliosis Reduction/Repair
- Minimally Invasive discectomy
- Minimally Invasive decompression
Peripheral Nerve Procedures
- Carpal tunnel release
- Sural nerve biopsy
- Ulnar nerve transpositions
- Brain tumor biopsy
- Meningioma removal
- Posterior fossa decompression
- Temporal lobectomy
- Epidural hematoma evacuation
- Subdural hematoma evacuation
- Brain tumor resection
- Intracerebral hemorrhage evacuation
- Skull fracture repair/reconstruction
- Intracranial pressure monitoring
Pain Management Procedures
The Institute offers a range of minimally invasive pain therapies that are performed by the pain management and physiatry specialists.
Epidural Steroid Injections (ESI)
An ESI works by delivering steroids directly to the painful area to help decrease the inflammation that may be causing the pain. An epidural injection is typically used to alleviate chronic low back and/or leg pain. While the effects of the injection tend to be temporary. While the effects of the injection tend to be temporary, providing relief from pain for one week up to one year can be very beneficial for patients during an episode of severe back pain. It also provides sufficient pain relief to allow the patient to progress with their rehabilitation program.
Trigger Point Injections
Trigger point injections (TPI) are used to treat extremely painful areas of muscle by injecting an anesthetic directly into the muscle. A trigger point is a knot or tight band of muscle that forms when muscle fails to relax. The knot often can be felt under the skin and may twitch involuntarily when touched. The trigger point can trap or irritate surrounding nerves and cause referred pain (pain felt in another part of the body). Because of this "referred pain", trigger points can mimic pinched nerves.
Facet Joint Injections
Lumbar facet joints are small joints located in pairs on the back of the spine. They provide stability and guide motion in the low back. If the joints become painful they may cause pain in the low back, abdomen, buttocks, groin or legs.
A facet joint injection provides temporary pain relief allowing a chiropractor or physical therapist to treat the joint. Also, the time release cortisone (steroid) that is injected will help to reduce any inflammation that may exist within the joint(s).
Sacroiliac Joint Injections
The sacroiliac joint is the part of your lower back made up of the sacrum (the bony structure above your tailbone and below your lower vertebrae) and the top part (iliac) of your pelvis. It is the part of the low back just behind your waist. You have right and left sacroiliac joints. Symptoms of sacroiliac joint pain can include pain in the sacroiliac area, difficulty bending or twisting your low back, pain after sitting for a long time, stiffness in the low back, hip, or leg, or a feeling of being "out of alignment."
A sacroiliac joint injection serves several purposes. First, by placing numbing medicine into the joint, the amount of immediate pain relief experienced will help confirm or deny the joint as a source of pain. Additionally, the temporary relief of the numbing medicine may better allow a chiropractor or physical therapist to treat that joint. Also, cortisone (steroid) will help to reduce any inflammation that may exist within the joint(s).
For more information, or to schedule an appointment with our Pain Management or Physiatric Physicians, call 319.272.5000.